May 6.] THE NEW ZEALAND GAZETTE. 1213

Form No. 29.

Death Duties Act, 1921.

In the estate of
(deceased).

DECLARATION TO BE ANNEXED TO THE THIRD, FOURTH, FIFTH, AND ELEVENTH SCHEDULES, AND TO THE FOURTEENTH, FIFTEENTH, SIXTEENTH, NINETEENTH, AND TWENTY-FIRST SCHEDULES, IN SO FAR AS PERSONAL PROPERTY CAPABLE OF VALUATION, OTHER THAN SCRIP, STOCK, SHARES, MORTGAGES, AND BILLS, IS COMPRISED THEREIN.

I, , of , do solemnly and sincerely declare,—

1. That I am not in any manner interested in the distribution of the estate and effects of the above-named deceased.

2. That I am well acquainted with the value of personal property and effects of a similar nature to that specified in the [Insert the number of schedule], Schedule, hereto annexed, other than scrip, stock, and shares.*

3. That I have personally made a full and complete inspection and examination of all the various articles enumerated in the said schedule.

4. That to the best of my knowledge and belief the sums of money set opposite the various items comprised in the said schedule represent and were the full and true values of the various articles aforesaid at the date of [Insert death of the deceased, or gifts as set out in the said schedule, or vesting upon joint tenancy as set out in the said schedule, as the case may be].

5. That in the aggregate the full value of all the various articles enumerated in the said schedule did not exceed the sum of pounds shillings and pence at the date above mentioned.

6. That I am , and have carried on business at for a period of years.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.

Declared at , by the said
this day of , 19 , before
me—

A Justice of the Peace for the Dominion of New Zealand
[or A Solicitor of the Supreme Court of New Zealand].

• Scrip, stock, and shares in banks and companies must be valued separately, and valuations verified by declaration as prescribed for Tenth Schedule.

Form No. 30.

Death Duties Act, 1921.

In the estate of
(deceased).

DECLARATION TO BE ANNEXED TO THE SIXTH, TWELFTH, THIRTEENTH, AND TWENTIETH SCHEDULES, AND TO THE SIXTEENTH, NINETEENTH, AND TWENTY-FIRST SCHEDULES IN SO FAR AS THE REAL PROPERTY IS COMPRISED THEREIN.

I, , of , do solemnly and sincerely declare,—

1. That the valuation set out in the [Insert the number of schedules] Schedule hereto annexed is the valuation of the land described in such schedule appearing in the general valuation roll as at the date of the [Insert death of the deceased, or gifts as set out in the said schedule, or vesting upon joint tenancy as set out in the said schedule, as the case may be].

2. That to the best of my knowledge and belief no improvements had been effected on the said land between the date of such valuation, which was made under the Valuation of Land Act, 1908, on the day of , 19 , and the date referred to in paragraph l above, other than improvements to the value of £ .

3. That I have estimated the above value for the purpose of this declaration.

And I make this solemn declaration conscientiously believing the same to be true, and by virtue of the Justices of the Peace Act, 1908.

Declared at , by the said
this day of , 19 , before
me—

A Justice of the Peace for the Dominion of New Zealand
[or A Solicitor of the Supreme Court of New Zealand].

Form No. 31.

Death Duties Act, 1921.

In the estate of
(deceased).

DECLARATION TO BE ANNEXED TO THE EIGHTH, NINTH, AND TENTH SCHEDULES, AND TO THE FOURTEENTH, FIFTEENTH, SIXTEENTH, NINETEENTH, AND TWENTY-FIRST SCHEDULES, IN SO FAR AS SCRIP, STOCK, AND SHARES IN BANKS, COMPANIES, OR SOCIETIES, AND MORTGAGES, BONDS, AND BILLS, ARE COMPRISED THEREIN.

I, , of , do solemnly and sincerely declare,—

1. That I am not in any way interested in the distribution of the estate of the above-named deceased.

2. That I have examined the books and accounts of the deceased in respect of the property specified in the Eighth and Ninth Schedules hereto annexed, and that from information acquired by me I verily believe the particulars contained therein to be true, and to fully state the whole of the assets of the deceased of that nature.